Permit � y CITY OF TIGARD REROOF PERMIT
s ' COMMUNITY DEVELOPMENT Permit#: RER2015-00017
TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 03/26/2015
Parcel: 2S102AC00201
Jurisdiction: Tigard
Site address: 12650 SW MAIN ST
Project: Main Street Village Subdivision: BURNHAM TRACT Lot: 9
Project Description: Roofing over existing roof for all garages. No tear-off. Work for all garages will be completed at the same time.
Contractor: CARLSON ROOFING CO INC Owner: CASA LA VETA ASSOCIATES
PO BOX 1695 HIGHLANDS ASSOCIATES LTD
HILLSBORO, OR 97123 BEAN,TERRENCE PETAL
1303 SW 16TH AVE
PORTLAND, OR 97201
PHONE: 503-846-1575 PHONE:
FAX: 503-640-2122
FEES
Description Date Amount
Permit Fee 03/26/2015 $423.53
Specifics: 12%State Surcharge-Building 03/26/2015 $50.82
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Load:
Stories: Height: 0 ft
Project Valuation: $22,509.00
General Information
Building Area: 0
Re-Roof Area: 0
Roof Class:
Tear Off:
Overlay:
Existing Roof Layers:
Parapets:
Total $474.35
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a he rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By: Permittee Signature: '
03.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Application
• Re-Roof
FOR OFFICI: 1 SE ONLY
III City of Tigard Received
13125 SW Hall Blvd.,Tigard.OR 9 C E IVE D Plate By:y icy, C-
3 -511 5 Permit Nu.:P° ls--1C-Lk i 7
Phone: 503.718.2439 Fax: 503.59 Plan Re ie
Date 13>. Other Permit:
I R�.�It I
Inspection Line: 503.639.4175 Dam Ready'B>: garb 0 tee Pa
Internet: www.tigard-ur.go\ MAR 2 5 2015 Notified Method: rte l for
Supplemental Information
—
TYPE -�
fNG DIVISION REQUIRED DATA:1-AND 2-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed.
Addition`alteratioNreplacement Indicate the value(rounded to the nearest dollar)of all
❑Other: equipment,materials,labor,overhead,and the profit for the
CATEGORY OF CONSTRUCTION work indicated on this application.
❑ I-and 2-family dwelling Valuation:
❑Commercial industrial $ 22, ,�U 9_ co
❑Accessory building j 51 Multi-family Number of bedrooms:
❑ Master builder ❑Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 1 2(,-5e 5-..L! ivIc rH .D c c-C -- COQ e New dwelling area: square feet
_ sq
City/State/ZIP: 1 t-v A r. Garage/carport area: square feet
c.�� r7z z 3 �
Suiteibldg./apt.no.: l Project name: / "261
t/1/ (4/1G111.P"_ Covered porch area: square feet
Cross streetdirections to job site:
Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLIST
V
Subdivision: MCL,(/) j j 1- I l Lot no.: Permit fees*are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application.
kiU=J(' t c- C(v �-ef- . Valuation: S
Existing building area: square feet
New building area: square feet
d PROPERTY OWNER ❑ TENANT I i Number of stories:
Name:CA5A LA V ETA F .a5uC, I }•� n
{ �/ � n j f �ft�(�. f4(c��.`� . Type of construction:
Address: it 1 :5w .5-111 A fit' q4 3(i. r — --
J Occupancy groups:
City/State/ZIP: P Cx r'vd 0 r, 1 1
Existing:
Phone:(%7/ ) 2 2. 20 L/ g Fax:(50.51 9 e,• / f 1 g t? --
New:
APPLICANT ❑ CONTACT PERSON — -
Business name: `'((,, ) t NOTICE
l,u I `5OI 1 r`C��,Ne NCI ( C' ` -I v,, All contractors and subcontractors are required to be
Contact name: L fi �l�C �� (, t a�� licensed w ith the Oregon Construction Contractors Board
Address: `j�Z) c�LA-) under ORS 701 and may be required to be licensed in the
i�' 1�- 5 jurisdiction in wfiich work is being performed. If the
City/State/ZIP: ��1 �` r� .r-U `, CT-, I L applicant is exempt from licensing,the folloning reasons
Phone:(Siiy 1184 G 15 -) 5 l Fax::151)3 ) 6 y0 -1 2 Z apply:
E-mail: Le-}I(,t ('t. (s) C!f 1-I SC,i l r-oC,-C- C t�,vym
CONTRACTOR
Business name: ( Y I 5c-n Rte`, C _
-}t,`�- BUILDING PERMIT FEES*
Address: m�Z ) `5L0 (1/1 �, Q `j (Please refer Wirt schefid/
I City/State/ZIP: 1�\1 c,k 'i'L�[JC.),-(e_ e)7 12 3 - Structural plan review fee(or deposit):
I Phone:(511 3► � 15 9 5 I Fax:( ) ‘y` 122-
FLS plan re\iew fee(if applicable):
CCU I"•: i_fit x y Total fees due upon application: 4 -711. 3y
1
Authorized signaturi: 4_ 1 Amount recci�ed:
/ This permit application expires if a permit is not obtained
Print name / Date: 1.2:/-i I within 180 days after it has been accepted as complete.
" Fee methodology set by Tri-County Building Industry
I 1i,1iWiry:Perm,RU(ll-Permit\pr.d (r
oi In PI , Service Board.
14'1-4. ri l l oz('U\r NM,
•,...
''''?"'"117.-7- � — it../ `=�. \\:::\' 6•AWl��crab;1'A171 .__�. .. __. .. ..._.__.. .�____ _...�.._..
' �'• j/' l "` Q9L �[ �, ,r.�. "_.�'u_•.._..tiw..�.,.e`. r rr MftfN..._.».................___.._. ..«.....
�� 11bfCtii�ln �. L�1 • �•.._ I j8 �*+a�w...r �` .suw----- ..,.ere...,,,..,
Lapis.x v as tk.k.:. . 4 .1,,,,, (j a;
1 : + F� 'fit>/ • t' 1 ,, . 1
•
7 I 1 �' ♦�1 ti `, Ll Ullfk.r# t. , t it
il
w 7 �� ' 1 1�a l..i 1
• 1 VI �M b 1 t•�r
i/J lC 1 . + ;1 Icy r «~ I Ci
I -�"''' 1�. s• - Q f�av_° ,•�,� ``'°'31•Y'��'.�„� ;:.:" �1...(` _11', ''. ,,,� j, • ;: 41; 4.1 1 1
. / - . '11.. :: . '1 4 ''..t1'N'—' %,_ ./......., ......
Ll
•J1 ,iC "1S Hu. . *� F� hT E,-,1„,,• r 1 (C^t`+ �� 4
+ t �,�1 t "• , �. lii� Dt 1 t 1- i:1l '"1 C \Frarz�ufr 1 t
�w .•If (I r( ti 1
l 6.--1—:c\,—.3) %. �4' /` � tog .(l .Il y«a � w/i `i1 Ii..��.'-t'''"""C ` [F
��4 14. ulaNitrl. 'r` .�1 " tip "`� IC--1 P�^l' �� `� )}
II
,r.
elf' 'Iri Ica^ris�.+ue..ye....yy:w.�w.rsw.ne„ , ` '?F1a� 'F._.,1'iI r 1,.. t.. _ ry;,•, <i�.,t. i'I 1 +f
r
jI/" .....a..
F�"(iN .mss+.
1 '
i
i
c
i